Mountain Comprehensive Care Center Inc

A Medicare group practice based in Prestonsburg, KY: 26 NPIs enrolled under one PECOS associate control ID (PAC ID 5294720553), with 237 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
5294720553The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice, Part B Supplier - Pharmacy
Enrolled in
KY
Enrollments
25
Group size
88 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
47In 15 places

Enrollment records 25

Enrollment IDStateProvider typeNPI
O20040416000380 KY Part B Supplier - Clinic/Group Practice 1760491674
O20130102000101 KY Part A Provider - Federally Qualified Health Center (FQHC) 1578811774
O20260610002560 KY Part A Provider - Federally Qualified Health Center (FQHC) 1396583068
O20250430001361 KY Part A Provider - Federally Qualified Health Center (FQHC) 1568276020
O20250429002773 KY Part A Provider - Federally Qualified Health Center (FQHC) 1992505663
O20241101003039 KY Part A Provider - Federally Qualified Health Center (FQHC) 1336989292
O20250212000851 KY Part A Provider - Federally Qualified Health Center (FQHC) 1013728740
O20250210002609 KY Part A Provider - Federally Qualified Health Center (FQHC) 1972333649
O20250109003603 KY Part A Provider - Federally Qualified Health Center (FQHC) 1548094808
O20230126003381 KY Part B Supplier - Pharmacy 1265083141
O20230127000136 KY Part A Provider - Federally Qualified Health Center (FQHC) 1346963261
O20240206003210 KY Part A Provider - Federally Qualified Health Center (FQHC) 1699456129
O20250927000424 KY Part A Provider - Federally Qualified Health Center (FQHC) 1568253904
O20220901001082 KY Part A Provider - Federally Qualified Health Center (FQHC) 1568102432
O20220831001949 KY Part A Provider - Federally Qualified Health Center (FQHC) 1801544861
O20210916002162 KY Part A Provider - Federally Qualified Health Center (FQHC) 1477136844
O20220110001895 KY Part A Provider - Federally Qualified Health Center (FQHC) 1184298580
O20201217001422 KY Part A Provider - Federally Qualified Health Center (FQHC) 1285244244
O20191122001151 KY Part A Provider - Federally Qualified Health Center (FQHC) 1184182180
O20191003003181 KY Part A Provider - Federally Qualified Health Center (FQHC) 1518441260
O20180829000907 KY Part A Provider - Federally Qualified Health Center (FQHC) 1730688359
O20180828002631 KY Part A Provider - Federally Qualified Health Center (FQHC) 1023517679
O20180828003612 KY Part A Provider - Federally Qualified Health Center (FQHC) 1114426863
O20180829000481 KY Part A Provider - Federally Qualified Health Center (FQHC) 1194224717
O20200415001362 KY Part A Provider - Federally Qualified Health Center (FQHC) 1770121972

NPIs in this group 26

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 237

Page 1 of 3

Clinicians who reassign their Medicare benefits to this group (237) or whom Care Compare lists as members (88).

Sources for this page